Amanda Bissonnette, M.ED, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-40056 Issued in GA

Practice address

429 Creekstone RDG
Woodstock, GA 30188-3746

Phone

(678) 996-4998

Fax

(844) 233-7089

NPI assigned

Sep 30, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Amanda Bissonnette Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Autism Center for Children

  • Community/Behavioral Health Agency
  • Woodstock, GA
  • NPI 1427422617
  NPD (past)
• Perfect Pair ABA Ga LLC

  • Behavior Analyst
  • Atlanta, GA
  • NPI 1972366680
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1144779281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 CREEKSTONE RDG",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883732",
            "telephone_number": "678-996-4998",
            "fax_number": "844-233-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 CREEKSTONE RDG",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883746",
            "telephone_number": "678-996-4998",
            "fax_number": "844-233-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSONNETTE",
        "first_name": "AMANDA",
        "credential": "M.ED, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-30",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-19-40056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BISSONNETTE",
            "credential": "BCBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• William Bilek, MD
• Bio-Medical Applications of Georgia, Inc.
• Biokinetics Inc
• Lydia Bishop, LCSW
• Jennifer Leigh Biskup, NP
• BJ'S Wholesale Club Inc.
• BJS Wholesale Club Inc
• Kammi Blackwelder
• Dot Roseann Blair, PHARMD
• Chloe Denise Blanchard

• All providers in Woodstock, GA
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.